The Influence of Workload, Burnout, Distress on Nurses' Performance Post Covid-19 Pandemic
Abstract
Workload, burnout and distress are closely related to nurse performance, because increasing workload, burnout and distress can reduce nurse performance. The purpose of this study was to determine the effect of workload, burn out, distress on the performance of nurses after the Covid-19 pandemic. Method: This study is quantitative with a causal associative design. The population in this study were nurses at the Prof. Dr. M. Ildrem, Metal Hospital, totaling 184 people, with a sample of 65 people in the study. Data were collected using questionnaire. Data were analyzed using multiple linear regression. The study shows that workload and distress influence the performance of nurses after the Covid-19 pandemic at the Prof. Dr. M. Ildrem, Mental Hospital, Medan, while burn out has no effect on the performance of nurses after the Covid-19 pandemic at the Prof. Dr. M. Ildrem, Mental Hospotal, Medan. Workload, burn out and distress together influence the performance of nurses after the Covid-19 pandemic at the Prof. Dr. M. Ildrem, Mental Hospital, Medan. Hospitals need to pay attention to workload elements that can affect nurses' performance, as well as exploring the individual abilities of nurses, providing opportunities for nurses to be creative and self-actualizing to reduce burn out as well as screening nurses for psychological problems regularly to support nurses who work in the Mental Hospital.
References
Abdullah, L. & Halik, A. (2023). The Effect of Organizational Culture and Workload on Employee Performance with Job Satisfaction as A Mediating Variable on Cv. Asia Raya Komputama Surabaya. Economic and Business Management International Journal Januari 2023, 3(1), 2715–3681.
Adriani, P., Triana, N. Y. & Prabandari, R. (2022). The effect of workload on work stress of nurses in hospital. JHeS (Journal of Health Studies), 6(2), 50–59. https://doi.org/10.31101/jhes.2727
Ahmad, A., Herdianzah, Y., Safutra, N. I., Rauf, N., Gamgulu, R. & Nur, T. (2023). Workload analysis to determine the optimal number of workforce using the Work Load Analysis (WLA) method at PT. Harapan Jaya Multi Bisnis. Opsi, 16(2), 241. https://doi.org/10.31315/opsi.v16i2.8967
Ahmadi, M., Choobineh, A., Mousavizadeh, A. & Daneshmandi, H. (2022). Physical and psychological workloads and their association with occupational fatigue among hospital service personnel. BMC Health Services Research, 22(1), 1–8. https://doi.org/10.1186/s12913-022-08530-0
Alsadaan, N., Salameh, B., Reshia, F. A. A. E., Alruwaili, R. F., Alruwaili, M., Awad Ali, S. A., Alruwaili, A. N., Hefnawy, G. R., Alshammari, M. S. S., Alrumayh, A. G. R., Alruwaili, A. O. & Jones, L. K. (2023). Impact of Nurse Leaders Behaviors on Nursing Staff Performance: A Systematic Review of Literature. Inquiry (United States), 60. https://doi.org/10.1177/00469580231178528
Ashipala, D. O. & Nghole, T. M. (2022). Factors contributing to burnout among nurses at a district hospital in Namibia: A qualitative perspective of nurses. Journal of Nursing Management, 30(7), 2982–2991. https://doi.org/10.1111/jonm.13693
Babapour, A. R., Gahassab-Mozaffari, N. & Fathnezhad-Kazemi, A. (2022). Nurses’ job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC Nursing, 21(1), 1–10. https://doi.org/10.1186/s12912-022-00852-y
Caldichoury, N., García-Roncallo, P., Saldías, C., Zurita, B., Castellanos, C., Herrera-Pino, J., Soto-Añari, M., Porto, M. F., Quispe-Rodríguez, I., Florez, Y., Castillo-Tamara, E., Díaz, M. C., Coronado-López, J., Gaitan-Quintero, G., Pabón-Moreno, A., Ocampo-Barba, N., Martínez-Pérez, J., Gargiulo, P. A., Quispe-Ayala, C., … López, N. (2023). Psychological Impact of COVID-19 on Health Workers During the Second Year of the Pandemic in Latin America: Cross-Sectional Survey Study. Revista Colombiana de Psiquiatria. https://doi.org/10.1016/j.rcp.2023.04.010
Chew, N. W. S., Lee, G. K. H., Tan, B. Y. Q., Jing, M., Goh, Y., Ngiam, N. J. H., Yeo, L. L. L., Ahmad, A., Ahmed Khan, F., Napolean Shanmugam, G., Sharma, A. K., Komalkumar, R. N., Meenakshi, P. V., Shah, K., Patel, B., Chan, B. P. L., Sunny, S., Chandra, B., Ong, J. J. Y., … Sharma, V. K. (2020). A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, Behavior, and Immunity, 88(April), 559–565. https://doi.org/10.1016/j.bbi.2020.04.049
D’ettorre, G., Ceccarelli, G., Santinelli, L., Vassalini, P., Innocenti, G. Pietro, Alessandri, F., Koukopoulos, A. E., Russo, A., D’ettorre, G. & Tarsitani, L. (2021). Post-traumatic stress symptoms in healthcare workers dealing with the covid-19 pandemic: A systematic review. International Journal of Environmental Research and Public Health, 18(2), 1–16. https://doi.org/10.3390/ijerph18020601
Ding, C., Wang, L., Guo, Z., Chen, Y. & Jin, J. (2022). Psychological care needs for frontline nurses during the COVID-19 pandemic: A qualitative study. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.1043515
Edú‐valsania, S., Laguía, A. & Moriano, J. A. (2022). Burnout: A Review of Theory and Measurement. International Journal of Environmental Research and Public Health, 19(3). https://doi.org/10.3390/ijerph19031780
Gori, A., Fama, F. & Genovese, C. (2023). Coronavirus Disease 19 (COVID-19). Sustainable Development Goals Series, Part F2781(4), 137–142. https://doi.org/10.1007/978-3-031-33851-9_21
Idaiani, S. & Waris, L. (2022). Depression and Psychological Stress Among Health Workers in Remote Areas in Indonesia. Frontiers in Public Health, 10(April), 1–7. https://doi.org/10.3389/fpubh.2022.743053
Ivziku, D., Ferramosca, F. M. P., Filomeno, L., Gualandi, R., De Maria, M. & Tartaglini, D. (2022). Defining nursing workload predictors: A pilot study. Journal of Nursing Management, 30(2), 473–481. https://doi.org/10.1111/jonm.13523
Kelly, L. A., Gee, P. M. & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing Outlook, 69, 96–102.
Knowles, K. A. & Olatunji, B. O. (2020). Specificity of Trait Anxiety in Anxiety and Depression: Meta- Analysis of the State-Trait Anxiety Inventory. Clin Psychol Rev., 82, 139–148. https://doi.org/doi:10.1016/j.cpr.2020.101928.
Leo, C. G., Sabina, S., Tumolo, M. R., Bodini, A., Ponzini, G., Sabato, E. & Mincarone, P. (2021). Burnout Among Healthcare Workers in the COVID 19 Era: A Review of the Existing Literature. Frontiers in Public Health, 9(October), 1–6. https://doi.org/10.3389/fpubh.2021.750529
Lucchini, A., Elli, S., De Felippis, C., Greco, C., Mulas, A., Ricucci, P., Fumagalli, R. & Foti, G. (2019). The evaluation of nursing workload within an Italian ECMO Centre: A retrospective observational study. Intensive and Critical Care Nursing, 55(xxxx), 102749. https://doi.org/10.1016/j.iccn.2019.07.008
Lucchini, A., Iozzo, P. & Bambi, S. (2020). Nursing workload in the COVID-19 era. Intensive & Critical Care Nursing, 61, 1–3. https://doi.org/10.1016/j.iccn.2020.102929
Matsuo, T., Kobayashi, D., Taki, F., Sakamoto, F., Uehara, Y., Mori, N. & Fukui, T. (2020). Prevalence of Health Care Worker Burnout during the Coronavirus Disease 2019 (COVID-19) Pandemic in Japan. JAMA Network Open, 3(8), E2017271. https://doi.org/10.1001/jamanetworkopen.2020.17271
Moghadam, K. N., Chehrzad, M. M., Masouleh, S. R., Maleki, M., Mardani, A., Atharyan, S. & Harding, C. (2021). Nursing physical workload and mental workload in intensive care units: Are they related? Nursing Open, 8(4), 1625–1633. https://doi.org/10.1002/nop2.785
Nursalam. (2017). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis. Salemba Medika.
Obschonka, M., Pavez, I., Kautonen, T., Kibler, E., Salmela-Aro, K. & Wincent, J. (2023). Job burnout and work engagement in entrepreneurs: How the psychological utility of entrepreneurship drives healthy engagement. Journal of Business Venturing, 38(2), 106272. https://doi.org/10.1016/j.jbusvent.2022.106272
Pangestika, M. P. & Etlidawati. (2022). Hubungan Tingkat Stres Dengan Kinerja Perawat Selama Pandemi Covid-19 Di Instalasi Gawat. Jurnal Ilmiah Kesehatan Keperawatan, 18(2), 156–161. https://doi.org/10.26753/jikk.v18i2.934
Pérez-Francisco, D. H., Duarte-Clíments, G., Del Rosario-Melián, J. M., Gómez-Salgado, J., Romero-Martín, M. & Sánchez-Gómez, M. B. (2020). Influence of workload on primary care nurses’ health and burnout, patients’ safety, and quality of care: Integrative review. Healthcare (Switzerland), 8(1), 1–14. https://doi.org/10.3390/healthcare8010012
Pourteimour, S., Yaghmaei, S. & Babamohamadi, H. (2021). The relationship between mental workload and job performance among Iranian nurses providing care to COVID-19 patients: A cross-sectional study. Journal of Nursing Management, 29(6), 1723–1732. https://doi.org/10.1111/jonm.13305
Reper, P., Bombart, M. A., Leonard, I., Payen, B., Darquennes, O. & Labrique, S. (2020). Nursing Activities Score is increased in COVID-19 patients. Intensive and Critical Care Nursing, 60, 102891. https://doi.org/10.1016/j.iccn.2020.102891
Rukmana, R. B. & Rusindiyanto, R. (2023). Analysis of Physical and Mental Workload on Emergency Department (ED) Nurses with Subjective Workload Assessment Technique (SWAT) and Cardiovascular Load (CVL) Methods (Case Study of Sidoarjo City Hospital). Ekonomis: Journal of Economics and Business, 7(2), 1015. https://doi.org/10.33087/ekonomis.v7i2.1260
Solatiah. (2019). The effect of burnout, leadership style and work conflict on civil servants’ performance in sub-districts throughout the city of Mataram, Indonesia. Eurasia: Economics & Business, 24(6), 12–19.
Sugma, S. H. (2022). The Effect Of Work Behavior And Work Environment On Employee Performance. At-Tadbir : Jurnal Ilmiah Manajemen, 6(2), 169. https://doi.org/10.31602/atd.v6i2.7150
Sukesi, N., Listiyani, N., Winarti, R. & Author, C. (2024). The Relationship of Workload and Job Stress in Nurses in the Patient Room. East Asian Journal of Multidisciplinary Research (EAJMR), 3(3), 1341–1348. https://journal.formosapublisher.org/index.php/eajmr
Swedana, I. N. (2023). The Role Of Workload And Work Motivation In Influencing Performance Through Job Satisfaction. Jurnal Manajemen, 27(2), 401–427. https://doi.org/10.24912/jm.v27i2.1309
Widiasih, R., Ermiati, Emaliyawati, E., Hendrawati, S., Susanti, R. D., Sutini, T. & Sari, C. W. M. (2021). Nurses’ Actions to Protect Their Families from COVID-19: A Descriptive Qualitative Study. Global Qualitative Nursing Research, 8. https://doi.org/10.1177/23333936211014851.
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